Clinical efficacy of laparoscopic radiofrequency ablation of hepatocellular carcinoma in liver cirrhosis patients
10.3760/cma.j.issn.1007-631X.2017.10.010
- VernacularTitle:腹腔镜辅助射频消融治疗特殊部位肝硬化肝癌的临床疗效
- Author:
Zhengzheng WANG
1
;
Jinxue ZHOU
;
Qingjun LI
;
Kai WANG
;
Xiangyu ZHAN
;
Xun CHEN
;
Feng HAN
Author Information
1. 450008,河南省肿瘤医院郑州大学附属肿瘤医院肝胆胰腺外科
- Keywords:
Carcinoma,hepatocellular;
Catheter ablation;
Laparoscopes
- From:
Chinese Journal of General Surgery
2017;32(10):835-838
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of laparoscopic radiofrequency ablation of hepatocellular carcinoma in liver cirrhosis patients.Methods The clinical data of 26 patients who underwent laparoscopic radiofrequency ablation were analyzed.Tumor location,size,and number,operation time,radiofrequency ablation time,intraoperative blood loss,postoperative complications and follow-up were recorded.Results Laparoscopic radiofrequency ablation were successfully performed in all patients under guiding color Doppler ultrasound.Mean operative time was (126 ± 32) min,intraopertive blood loss was (5-50) ml,there was no perioperative blood transfusion;there was no major complications such as bile leakage,bleeding,infection and liver failure postoperatively.There were 3 cases of ascites and 1 case of right pleural effusion,all being recovered by conservative therapy.The median hospitalization time was 3(2-7) days.23 patients were followed up for a median of 10(2-17) months,2 cases suffered from recurrence during follow-up with 1 case undergoing repeated ablation therapy.Conclusions Laparoscopic radiofrequency ablation of hepatocellular carcinoma in liver cirrhosis patients is safe and feasible,with the advantages of less damage to liver function,less trauma and low incidence of postoperative complications.
